TERESIAH W. MWANGI-RILEY
NPI 1952947574
Nurse Practitioner - Family in South Bend, IN

Q: What is Teresiah Mwangi-riley's NPI number?

The NPI number for Teresiah Mwangi-riley is 1952947574. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Q: What is Teresiah Mwangi-riley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 19, 2019PECOS EnrolledAccepts Medicare Assignment

1901 W WESTERN AVE STE B, SOUTH BEND, IN 46619(574) 234-9033(574) 847-7200 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2025, Nov 19, 2019 (2 updates tracked since 2019).

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About Teresiah W. Mwangi-riley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESIAH W. MWANGI-RILEY (NPI 1952947574) is an individual family provider in South Bend, Indiana, licensed in Indiana (71009551A) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952947574

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTERESIAH W. MWANGI-RILEY

Location Address1901 W WESTERN AVE STE BSouth Bend, IN 46619-3570

Mailing Address8003 Castleway DrIndianapolis, IN 46250-1946 · (317) 576-1335 · Fax (317) 343-6562

Phone(574) 234-9033

Fax(574) 847-7200

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 19, 2019

Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1952947574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71009551A

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71009551A (IN)

1901 W WESTERN AVE STE B, South Bend, IN 46619

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresiah W. Mwangi-riley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365977253

PECOS Enrollment IDI20241202002663

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46619 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THERESA MARIE BARTOS HOLLADAY D.O.

Obstetrics & Gynecology